Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.96 / $5,116.62 / $8,728.00	Facility		$420.96	$5,116.62	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.87 / $180.87 / $342.25	Professional		$134.87	$180.87	$342.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $503.94 / $614.49 / $739.26	Professional		$503.94	$614.49	$739.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $290.82 / $359.21 / $587.39	Facility		$290.82	$359.21	$587.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $255.94 / $410.17 / $597.73	Facility		$255.94	$410.17	$597.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $273.74 / $356.30 / $587.39	Facility		$273.74	$356.30	$587.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $290.82 / $454.75 / $700.46	Professional		$290.82	$454.75	$700.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $966.59 / $1,714.91 / $2,351.11	Facility		$966.59	$1,714.91	$2,351.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $423.98 / $605.65 / $948.56	Professional		$423.98	$605.65	$948.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.36 / $586.82 / $985.08	Professional		$269.36	$586.82	$985.08